Effective Nurse-Client Communication and Care Delegation, Exams of Nursing

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NUR230 EXAM 2 LATEST ACTUAL EXAM

2024 - 2025 QUESTIONS AND CORRECT

DETAILED ANSWERS(VERIFIED)| A+

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Nurse leaders in a local hospital created a neurotrauma (NT) unit healthcare team focused on improving outcomes for stroke clients. This team includes acute care nurses, physicians, other care partners (e.g., physical therapists, social workers, case managers, dietitians), and representatives from the NT outpatient clinic. The team is led by a physician who makes treatment decisions based on the treatment plans developed by individual team members who each communicate with the clients, asking the same or similar questions to obtain data needed for the treatment plan. Which type of communication and action is represented in this scenario? A) Parallel communication B) Parallel functioning C) Information exchange D) Coordination and consultation E) Co-management and referral Correct Answer A) Parallel communication ________ occurs when two or more individuals show or feel honor or esteem toward one another, and it is an important element of successful collaborative practice. A) Trust B) Conflict management C) Mutual respect D) Effective communication Correct Answer C) Mutual respect

Which of the following conflict-related communication styles involves attempting to satisfy the concerns of others while neglecting the self? A) Compromising B) Accommodating C) Avoiding D) Competing Correct Answer B) Accommodating Nurses who demonstrate mindsight are able to A) focus on being "in the moment" so that they can dedicate their full attention to the events and emotions they are currently experiencing. B) predict events that will occur in the future with reasonable certainty. C) interpret events and emotions from another person's perspective. D) recognize their personal triggers to stress that result in conflict, then retrain their brain to respond differently. Correct Answer D) recognize their personal triggers to stress that result in conflict, then retrain their brain to respond differently. Which of the following is an example of covert conflict? A) Complaining to a friend about an assigned job task B) Yelling at a coworker who has insulted another coworker C) Telling a manager that you think she is being unnecessarily harsh D) Warning a client that inappropriate contact and comments will not be tolerated Correct Answer A) Complaining to a friend about an assigned job task Which of the following individuals would be included on an interdisciplinary healthcare team but not on an interprofessional healthcare team? A) Nurse practitioner B) Laboratory technologist

C) Pharmacist D) Physical therapist Correct Answer B) Laboratory technologist A nurse is providing care to a client who is scheduled for a colonoscopy. The client requires a bowel prep prior to the diagnostic test. Which approach should the nurse use to facilitate the client's understanding of the procedure? A) Use layman's terms to explain the procedure, then ask the client to describe the procedure in her own words B) Use medical terminology when explaining the procedure to the client to ensure maximum accuracy and clarity C) Focus on intonation when describing the procedure to the client D) Speak slowly and loudly when providing client teaching about the procedure Correct Answer A) Use layman's terms to explain the procedure, then ask the client to describe the procedure in her own words A nurse is teaching a client about a dressing change that should be done three times per day. The client is from a culture that is "present oriented." Based on this data, at which times should the nurse tell the client to perform the dressing changes? A) At whatever times the client selects, as long as they are 8 hours apart B) At 9 a.m., 3 p.m., and 9 p.m. C) At whatever times the client selects, as long as the dressing is changed three times each day D) After breakfast, lunch, and dinner Correct Answer D) After breakfast, lunch, and dinner A nurse educator in a medical-surgical unit is demonstrating the use of new equipment to the rest of the nurses on the unit. After initial efforts at having the class gather closely around the models were met with discomfort and inattention, the nurse educator sets

up the models in the front of the classroom. Which level of proxemics would be ideal for this situation? A) 4 to 12 feet B) 1 1/2 to 4 feet C) 12 to 15 feet D) Less than 1 1/2 feet Correct Answer A) 4 to 12 feet The nurse is admitting a client to an inpatient psychiatric unit. The client is speaking wildly and is obviously very agitated. Which action by the nurse would be appropriate to calm the client? A) Placing the client in a private room, away from others B) Speaking to the client in a soft, calm tone C) Administering a prn medication to sedate the client D) Using short sentences when talking to the client Correct Answer B) Speaking to the client in a soft, calm tone The nurse is starting preoperative teaching when the client receives a phone call. When the call ends and the nurse resumes teaching, the client is visibly upset and begins to cry. Which therapeutic initial response by the nurse is appropriate? A) "You can deal with whatever is upsetting you once we have finished." B) "It's very important to focus on this teaching so that you will recover quickly after surgery." C) "I can see that phone call has upset you. Let's talk about why you are upset before we move on with teaching." D) "What can you do to solve the problem?" Correct Answer C) "I can see that phone call has upset you. Let's talk about why you are upset before we move on with teaching." A female nurse is caring for a 21-year-old male client with a questionable gastrointestinal blockage. The healthcare provider prescribes an enema. Which reaction by the client would the nurse anticipate when planning care?

A) "May I have a visitor in the room with me for support during the procedure?" B) "I would rather have my doctor perform this procedure." C) "I don't know what an enema is." D) "I am afraid of having an enema." Correct Answer B) "I would rather have my doctor perform this procedure." The nurse is caring for a young adult client after a cervical biopsy. The client has expressed anxiety about the results. The healthcare provider peeks into the client's room and says, "The biopsy is negative." The nurse later finds the client sobbing. Which response by the nurse is most appropriate? A) "What did the healthcare provider tell you about the biopsy?" B) "You seem upset. Do you want to talk to me about the test results?" C) "Why are you crying after getting such good news?" D) "In this case, the term 'negative' is good!" Correct Answer B) "You seem upset. Do you want to talk to me about the test results?" A home health nurse is precepting a new nurse during a routine wound care visit. The new nurse is assessing the client's wound and notes that it is showing signs and symptoms of infection. The client's spouse asks the new nurse how the wound looks. The new nurse responds by stating, "It looks fine," but the new nurse's face indicates a different story. When evaluating the new nurse, the preceptor should note a need to work on which aspect of communication? A) Credibility B) Congruence C) Timing D) Clarity and brevity Correct Answer B) Congruence A nurse is providing care for a client who has vocal cord damage and wants to implement strategies that will promote

communication with this client. Which interventions would be appropriate? Select all that apply. A) Facing the client when speaking B) Having pen and paper on hand for the client C) Making sure that the language spoken is the client's dominant language D) Using a picture board to facilitate communication E) Employing an interpreter Correct Answer B) Having pen and paper on hand for the client, D) Using a picture board to facilitate communication The nurse is caring for a client who was admitted to the emergency department with abdominal pain. The client speaks very little English and requires an emergency appendectomy. The nurse has enlisted the hospital interpreter to explain the procedure and help with informed consent. When the interpreter arrives, which action by the nurse is appropriate? A) Ask the interpreter to translate as closely as possible. B) Ask the client's family to be included in the interpreting process and exchange of information. C) Direct questions to the interpreter and not the client. D) Request that the interpreter use the same dialect as the client to promote understanding. Correct Answer A) Ask the interpreter to translate as closely as possible. The nurse is providing care for a client who is about to be discharged. The nurse is discussing the discharge orders with the client's primary healthcare provider. Which statement by the nurse is an appropriate example of using assertive communication? A) "Can we talk about this client prior to discharge?" B) "That new medication you prescribed for the client is ineffective." C) "I am worried about the client's blood pressure. It remains high even with the new medication."

D) "Excuse me, Doctor, I think you need to do something about the client's blood pressure." Correct Answer C) "I am worried about the client's blood pressure. It remains high even with the new medication." A young adolescent client is in the hospital preparing for major surgery for the removal of a tumor on the kidney. The client's mother tells the nurse that she doesn't want her child to receive narcotics for postoperative pain. What is the nurse's best response? A) "Okay, I'll tell the healthcare provider not to order any. Are you sure you want to do this?" B) "The pain will be severe. Why don't we ask your child about this?" C) "Your child's pain will be severe after the surgery. Can you tell me why you feel this way?" D) "You do not have a choice of medication. Decisions involving pain relief are up to the healthcare providers." Correct Answer C) "Your child's pain will be severe after the surgery. Can you tell me why you feel this way?" A home health nurse is planning care for an adult client who is being discharged from the hospital after experiencing complications of diabetes mellitus. The client requires an extensive dressing change twice per day, help with activities of daily living, and comprehensive education. To ensure these needs are met, the nurse is coordinating home visits from aides and therapists. Which role is the nurse assuming by coordinating this client's care? A) health educator B) case manager C) client advocate D) health promoter Correct Answer B) case manager

The nurse is discussing follow-up care with a client who is being discharged. The client and his family cross their arms and state angrily that the care team's suggestions are not acceptable. Which response by the nurse is appropriate? A) "We will leave you alone to discuss your options." B) "We only want what's best for you." C) "Let's discuss other options that might work well for you and your family." D) "Perhaps you did not understand the recommendations." Correct Answer C) "Let's discuss other options that might work well for you and your family." The nurse is preparing for the discharge of a client who will require physical therapy (PT) for rehabilitation following a total knee replacement. After reading the healthcare provider's order for PT, what should the nurse do next? A) Set up outpatient appointments for the client with the hospital's PT department B) Call home health and schedule a therapist to visit the client's home for PT C) Inform the client about the settings in which PT may occur and have the client choose the venue D) Teach the client's family the exercises that will be included in the client's PT regimen Correct Answer C) Inform the client about the settings in which PT may occur and have the client choose the venue The nurse is caring for a client with rheumatoid arthritis who expresses the desire to remain active as long as possible. In order for the client to meet this goal, what should the nurse prepare to do? A) Teach the client about nutrition and joint exercises. B) Ask the client about the reasons for this goal. C) Tell the client that activity limitations are inevitable with rheumatoid arthritis.

D) Provide referrals to other professionals who can help the client meet this goal. Correct Answer D) Provide referrals to other professionals who can help the client meet this goal. A nurse is working as the designated leader of a group of healthcare providers in a community clinic setting. The team members are working to decrease the number of adolescent pregnancies in the community. They have defined the problem and are now focusing on objectives and considering various viewpoints presented by the group. The nurse is tasked with helping the team stay focused in order to address the defined problem. Which of the competencies of collaboration does this describe? A) Decision making B) Mutual respect C) Trust D) Communication Correct Answer A) Decision making The nurse managers in a community hospital have been charged with reviewing the job descriptions of unlicensed assistive personnel (UAP), and they have questions about the delegation of certain client care activities to UAP by nurses. To which group, organization, or individual would the committee members direct their questions to obtain definitive answers about the parameters of nurse delegation to UAP? A) The hospital's Chief Nursing Officer B) The hospital's Chief Executive Officer C) The state board of nursing D) The American Nurses Association Correct Answer C) The state board of nursing An experienced nurse is delivering a presentation to a group of nursing students about the importance of collaboration in the healthcare environment. The nurse wants to use evidence from the literature to support her argument. Which of the following are

documented benefits of collaboration that the nurse should discuss in her presentation? Select all that apply. A) Improved client outcomes B) Reduction in duplication of healthcare services C) Increased overall cost of healthcare services D) Decreased client morbidity and mortality E) Higher level of job satisfaction Correct Answer A) Improved client outcomes, B) Reduction in duplication of healthcare services, D) Decreased client morbidity and mortality, E) Higher level of job satisfaction Which of the following is a primary barrier to effective nurse- physician collaboration that has persisted over time? A) The view among the general population that nurses' contributions to client care are less important to health and well- being than physicians' contributions B) Nurses' and physicians' perceptions of inequity in their roles, with nurses assuming a subservient role and physicians assuming leadership and a superior role in healthcare settings C) A general lack of education among health professionals about the ways in which nurse—physician collaboration improves healthcare quality D) A lack of published evidence regarding the effectiveness of collaborative efforts among and between nurses and physicians E) A lack of support at the federal level for efforts to improve healthcare among the general population through increased nurse-physician-client collaboration Correct Answer B) Nurses' and physicians' perceptions of inequity in their roles, with nurses assuming a subservient role and physicians assuming leadership and a superior role in healthcare settings A nurse is discussing the plan of care with a client who is preparing for discharge. The client has a strong objection to portions of the plan of care. The nurse recognizes that there is a conflict. Which response by the nurse indicates an understanding

of the client's position and a willingness to collaborate regarding the discharge plan? A) "You are not being cooperative in your plan of care." B) "This plan of care was ordered by the physician." C) "Let's talk about your objections and possible solutions or alternatives." D) "I will ask your family to help convince you that this plan of care is best." Correct Answer C) "Let's talk about your objections and possible solutions or alternatives." A client with type 1 diabetes mellitus has developed an open sore on the shin and is having trouble meeting daily goals for exercise. The client is scheduled for discharge in a couple of days. When planning for this client's continued care, who will the nurse notify regarding the client's postdischarge needs? A) The pharmacy B) The case manager C) The occupational therapist D) The physical therapist Correct Answer B) The case manager A nurse who is caring for an adult client in the intensive care unit (ICU) is given a verbal prescription by a first-year medical resident. The nurse determines that the best course of action is to check with the attending healthcare provider before implementing the prescription. What is the most likely reason why the nurse is experiencing conflict regarding this situation? A) The resident seems unsure of the prescription. B) The nurse only takes prescription orders from attending healthcare providers. C) The nurse does not like first-year residents. D) The nurse may not trust the resident to make the best care decisions. Correct Answer D) The nurse may not trust the resident to make the best care decisions.

A staff nurse learns before reporting to work that a close family member has been diagnosed with terminal cancer. When receiving the shift report, the nurse finds that this family member has been assigned as a client. The nurse who cared for this individual on the outgoing shift states that the client is very demanding and complains a lot. Which action by the staff nurse who is assigned care for the oncoming shift is appropriate? A) Discuss the situation with the charge nurse. B) Resolve to refrain from reacting negatively to the client. C) Tell the client to change the behavior. D) Ask the healthcare provider to help control the client. Correct Answer A) Discuss the situation with the charge nurse. A group of nurses are in a staff meeting on a medical-surgical unit headed by the new unit nurse manager. The manager announces that nurses should not criticize and make fun of other nurses or there will be repercussions. Several nurses at the meeting suggest that the nurse manager talk to the individual nurses who are exhibiting this behavior. When assessing the staff's group dynamics, which action by the nurse manager is appropriate? A) Insist that this is an appropriate new policy. B) Recognize that the group already has defined behavioral norms. C) Discipline the staff nurses who spoke out. D) Request a transfer to another unit. Correct Answer B) Recognize that the group already has defined behavioral norms. The nurses in the emergency department (ED) and the staff nurses on the neurology unit are experiencing conflict. The ED nurses are not pleased with the amount of time it takes for the neurology unit's admitting nurse to receive face-to-face handoff communication for clients who are being admitted to that unit. Which type of conflict is being experienced by these nurses? A) Intrapersonal conflict B) Interpersonal conflict

C) Intergroup conflict D) Interorganizational conflict Correct Answer C) Intergroup conflict A community hospital wants to implement a labor—delivery— recovery—postpartum unit to replace the labor and delivery and mother/baby units. The nurses who work on the mother/baby unit are concerned they will not be able to care for laboring mothers and may lose their jobs. The nurse manager for both units supports the plan for an integrated unit, reports that jobs will not be lost, and involves the team members in the planning process, which includes cross-training all nursing staff. Based on the information presented, what causes of conflict may occur despite the nurse manager's effort for a smooth transition? Select all that apply. A) Mistrust B) Miscommunication C) Ambiguous role expectations D) Resistance to change E) Ineffective leadership Correct Answer A) Mistrust, D) Resistance to change A nurse manager overhears two staff nurses talking about a third nurse, who has the day off. The two nurses are making unflattering comments regarding the third nurse in front of several other nurses who work on the unit. The nurse manager discreetly asks to speak to the two nurses in private and states, "This behavior isn't OK, especially in a hospital like ours with a 'zero- tolerance policy.' If you have an issue with another nurse, please deal with that nurse directly. If you'd like me to help you with this, please let me know, and the four of us can meet." The nurse manager's behavior modeled strategies for dealing with which type of workplace conflict? A) Intergroup conflict B) Sexual harassment

C) Horizontal violence D) Intrapersonal conflict Correct Answer C) Horizontal violence A case manager assembles a team of healthcare professionals, including a client's primary healthcare provider, physical therapist, and social worker, for the purpose of collaborative discharge planning and decision making. Which type of team did the case manager assemble? A) Intradisciplinary team B) Interdisciplinary team C) Interorganizational team D) Management team Correct Answer B) Interdisciplinary team A school-age client is admitted to the pediatric intensive care unit (PICU), unconscious and with multiple traumatic injuries, after a skateboard accident that included a closed head injury. Many health professionals are involved in the client's care, and the scene is chaotic. The client's parents are extremely anxious and want to know what is happening. The case manager asks for an interdisciplinary team meeting to speak with the client's parents. Which is the rationale for this meeting? A) To allow for each specialty to practice independently B) To share and evaluate information for care planning and implementation, and to prevent priority conflicts, redundancy, and omissions in care C) To allow the primary healthcare provider to make all decisions regarding the client's care D) To prevent the client's parents from trying to change the plan of care Correct Answer B) To share and evaluate information for care planning and implementation, and to prevent priority conflicts, redundancy, and omissions in care In arranging community services for a client who is diagnosed with schizophrenia, the nurse case manager discusses options with the assertive community treatment (ACT) team. Which team

disciplines should the nurse expect will be part of the client's ACT interdisciplinary team? A) Psychiatrists, nurses, social workers, employment counselors B) Speech pathologists, occupational therapists, nurses, physicians C) Teachers, school administrators, psychiatrists, nurses D) Transportation providers, nurses, physicians, social workers Correct Answer A) Psychiatrists, nurses, social workers, employment counselors A home healthcare nurse is planning care for an older adult client. Which interdisciplinary program would best support the needs of an older adult client within the community? Select all that apply. A) Assertive community treatment (ACT) B) YMCA C) Programs of All-Inclusive Care for the Elderly (PACE) D) Outpatient clinic E) Meals on Wheels Correct Answer C) Programs of All-Inclusive Care for the Elderly (PACE), D) Outpatient clinic The nurse is caring for a client who is having difficulty understanding the dressing changes that need to be completed in the home as part of postdischarge wound care. The client asks the nurse to demonstrate the procedure again and allow the client's spouse to perform the procedure while the nurse watches. What is the most likely outcome of this assertive request by the client? A) A slightly increased chance that the wound will become infected due to exposure during dressing changes B) Less compassionate care for the client due to the nurse's irritation by the request C) A greater likelihood that the wound will heal appropriately D) A guarantee that the spouse will change the dressings correctly Correct Answer C) A greater likelihood that the wound will heal appropriately

The nurse is caring for a client with a new colostomy. The client has been taught how to perform colostomy care and has been successful with return demonstration to the staff. Although the client is able to perform care independently and has asked to do so, the charge nurse has instructed the nursing staff to continue performing colostomy care for this client. When addressing this issue directly with the charge nurse, which statement by a staff nurse is the most appropriate? A) "The client will change the apparatus whether you like it or not." B) "The client has been trained to change the apparatus and has expressed interest in performing this procedure independently." C) "You have no right to continue delegating this task to nurses when the client has been trained to change the apparatus." D) "I am going to tell the nurse manager that you won't allow the client to change the apparatus independently." Correct Answer B) "The client has been trained to change the apparatus and has expressed interest in performing this procedure independently." Which of the following barriers to communication involves asking a client for information chiefly out of curiosity rather than with the intent to assist the client? A) Challenging B) Probing C) Testing D) Rejecting Correct Answer B) Probing Which of the following statements on the part of the nurse is an example of the communication barrier known as testing? A) "Most people have little to no pain after this type of procedure." B) "Tell me when and why you started smoking marijuana." C) "Do you think you're the only client on the unit right now?"

D) "How are you still in pain after receiving both doses of medication?" Correct Answer C) "Do you think you're the only client on the unit right now?" A nurse case manager spends the morning in a peer discussion and the afternoon in an ad hoc quality management committee meeting that is led by the hospital administrator. Which two types of groups has the nurse case manager participated in? A) Camaraderie group and information group B) Work group and administrative group C) Primary group and secondary group D) Support group and governance group Correct Answer C) Primary group and secondary group Which of the following terms encompasses the way a group functions, communicates, sets goals, and achieves objectives? A) Cohesiveness B) Group dynamics C) Commitment D) Member behavior Correct Answer B) Group dynamics A nurse is developing objectives for a charter group of nurses from a national association. Which characteristics should the nurse expect to encounter when working with this semiformal group? A) The group has a formal structure, with voluntary, selective membership and structured activities during meeting times. B) The group has a formal structure, with structured activities, leadership selection from above, and easily recognized basic objectives. C) The group has an informal structure, with voluntary, selective membership and negotiable day-to-day operating standards. D) The group has an informal structure, with superimposed rules and managers who are symbols of authority. Correct Answer A)

The group has a formal structure, with voluntary, selective membership and structured activities during meeting times. The nurse is sitting in on a meeting for clients on a behavioral health unit. Which of the following characteristics of the group indicate that the group is functioning effectively? Select all that apply. A) The expertise of group members is being used. B) The group atmosphere is positive. C) Members feel satisfied with their participation. D) The group listens to the ideas of certain group members. E) The discussion focuses on all issues brought by group members. Correct Answer A) The expertise of group members is being used, B) The group atmosphere is positive, C) Members feel satisfied with their participation A nurse is providing teaching for an inpatient support group meeting. Which group behavior indicates that the teaching was effective? A) The group members appear relaxed and interested in the topic. B) The group members are tentative in expressing their feelings. C) The group avoids discussion about their signs and symptoms. D) The group members appear self-conscious when asked questions about their condition. Correct Answer A) The group members appear relaxed and interested in the topic. Four groups of nurses are attempting to determine which methods are most effective for teaching patients about proper self-care. Which of these groups is least likely to arrive at a successful decision in a timely manner? A) The group that launches a pilot project to determine which teaching methods are most effective B) The group that uses scenario planning to evaluate the potential results of various teaching methods

C) The group that uses trial and error to gauge the effectiveness of various teaching methods D) The group that uses a decision tree to visualize the potential results of various teaching methods Correct Answer C) The group that uses trial and error to gauge the effectiveness of various teaching methods Which of the following situations is an example of countertransference in the group setting? A) After failing at an assigned task, the members of a group place all blame for this failure on a single group member. B) A group member reveres the group's leader, largely because the leader possesses many similarities to the member's mother, whom he adores. C) The members of a group become so caught up in the group's current beliefs and actions that they fail to recognize simple changes that would greatly improve the group's efficiency. D) The leader of a group distrusts one of the group members solely because the member reminds him of his ex-wife. Correct Answer D) The leader of a group distrusts one of the group members solely because the member reminds him of his ex-wife. Which of the following statements is true with regard to monopolizing in the group setting? A) Group members who engage in monopolizing behavior do so intentionally. B) When one member of a group engages in monopolizing behavior, the other group members may become angry or frustrated with the group's leader. C) Monopolizing behavior may be motivated by anxiety or a need for attention, recognition, and approval. D) One useful strategy for dealing with monopolizing is to simply and directly interrupt the individual who is engaging in this behavior. Correct Answer B) When one member of a group

engages in monopolizing behavior, the other group members may become angry or frustrated with the group's leader. The nurse is caring for a client who sustained multiple injuries in an automobile accident. As a part of secondary prevention for this client, which does the nurse include in the plan of care? A) Promote wellness. B) Detect early disease. C) Restore the client to previous functioning. D) Prevent the progression of more symptoms. Correct Answer D) Prevent the progression of more symptoms. A nurse educator is teaching a group of students about managed care. The educator knows that the students have understood the concept when they state that managed care has which emphasis? Select all that apply. A) Bringing services of multiple providers to the client B) Organizing healthcare services around the stated needs of the client C) Cost-effective care D) Preventive services E) Health promotion Correct Answer C) Cost-effective care, D) Preventive services, E) Health promotion A nurse working on a medical-surgical unit has opted to return to school to earn a Bachelor of Science in Nursing (BSN) degree. After considering projected changes in healthcare and the population cared for in the community, which includes an expanding minority population composed largely of immigrants arriving from Central and South America as well as older adults as the fastest-growing demographic, the student might consider selecting which elective course? A) A course on medical Spanish B) A psychology course on young adults C) A personal finance class

D) A class on the effect of illness on a young child Correct Answer A) A course on medical Spanish The manager of a small clinic has cross-trained the nurses to perform electrocardiogram (ECG) testing, phlebotomy, and some respiratory therapy interventions. This clinic is providing client- focused care. Which of the following actions shows this delivery model in action? A) Many disciplines collaborate to provide client care. B) Client care is carefully managed to control costs. C) If a client complains of breathing difficulty, nurses concentrate on respiratory therapy for that client. D) Client progress is efficiently tracked. Correct Answer C) If a client complains of breathing difficulty, nurses concentrate on respiratory therapy for that client. A nurse is planning a community health fair at a local community center. Which goals regarding health promotion does the nurse plan to highlight at the event? Select all that apply. A) The ability to change and modify goals as health needs change B) The ability for clients to be able to assess and evaluate their health needs C) The ability for the client to promote health in other individuals D) The ability to promote cost-saving techniques to healthcare providers E) The ability to prevent disease by imitating nursing techniques Correct Answer A) The ability to change and modify goals as health needs change, B) The ability for clients to be able to assess and evaluate their health needs The nurse knows that communication among healthcare team members is essential during mass casualty events (MCEs). Which is essential when communicating under these circumstances? A) Providing concise, accurate, and timely information

B) Preparing for ethical challenges C) Documenting to prevent legal issues D) Coordinating care between management and clinicians Correct Answer A) Providing concise, accurate, and timely information Why should job seekers in the healthcare sector pay attention to advances in healthcare technology? A) Advances in technology require specialized personnel. B) Advances in technology involve policies and strategies at the organizational level. C) Changing demographics increase the need for new jobs. D) Technology plays a role in health literacy. Correct Answer A) Advances in technology require specialized personnel. The nurse is taking care of a client who is being discharged but will need home nursing care, physical therapy, and speech therapy. Which framework helps the client who has multiple care needs? A) Case management B) Client-focused care C) Managed care D) A health maintenance organization Correct Answer A) Case management If more older adults live in Mississippi than elsewhere in the United States and clients in Massachusetts have much greater access to health services than clients elsewhere in the United States, then what does this imply about access of older adults to healthcare in Mississippi? A) The likelihood is that more specialists serving older populations will work in Mississippi than in Massachusetts. B) Their access to healthcare should be roughly equal to that of older adults living in Massachusetts but with a different mix of providers.

C) The need for services will be much greater for older adults in Mississippi than in Massachusetts due to a decreasing number of healthcare providers. D) There will be much more robust rural services for older adults in Mississippi than in Massachusetts. Correct Answer C) The need for services will be much greater for older adults in Mississippi than in Massachusetts due to a decreasing number of healthcare providers. The nurse educator is presenting information to a group of nursing students regarding uninsured and underinsured clients. Which of the following is the best example of this problem for the educator to share with the students? A) "Delays of diagnoses lead to higher mortality and morbidity rates." B) "Delays in health coverage for children put the health provider at risk for litigation." C) "Immunizations are free for children at public health clinics." D) "Older adults are less likely to be treated for falls." Correct Answer A) "Delays of diagnoses lead to higher mortality and morbidity rates." The nurse in an urgent care center is assessing an adult client who is diagnosed with the flu. The nurse discusses the need for flu shots with the client, who states, "I cannot afford the shots. I do not have health insurance." Which suggestion by the nurse is most appropriate? A) Seek preventive care at the local health department. B) Find a primary care physician who will give free care. C) Obtain the flu shot at a local pharmacy. D) Get the shot every year in the emergency department. Correct Answer A) Seek preventive care at the local health department. A client asks the nurse, "How am I going to pay for a surgery? I'm broke, but I've been so sick." Which statement regarding the

Affordable Care Act (ACA) may be applicable to this client's situation? A) "The ACA extends coverage to people who do not qualify for public assistance and whose employers do not offer health insurance." B) "Unfortunately, you will probably be denied coverage because of your existing condition." C) "Most insurance premiums will be more and some less; you will have to shop around." D) "Because the rate of inflation is slowing, the ACA will also help curb medical costs." Correct Answer A) "The ACA extends coverage to people who do not qualify for public assistance and whose employers do not offer health insurance." A nurse on the pediatric unit contemplates the changes in healthcare insurance for 2014 when speaking with other colleagues. Which aspects of the Affordable Care Act (ACA) affect children favorably? Select all that apply. A) Insurance companies cannot deny coverage based on preexisting conditions. B) Insurance companies cannot drop children who have serious illnesses. C) Benefits are paid through private benefactors. D) All children are covered regardless of whether the parents are covered. E) The government must make appropriate arrangements for children based on need. Correct Answer A) Insurance companies cannot deny coverage based on preexisting conditions, B) Insurance companies cannot drop children who have serious illnesses. The nurse knows that Congress enacted the Emergency Medical Treatment and Labor Act (EMTALA) of 1986 to prevent which action by emergency services? A) Refusing to treat uninsured clients

B) Servicing suburban clients only C) Stopping the poor from using emergency services as primary care D) Providing free examinations to the poor Correct Answer A) Refusing to treat uninsured clients The nurse taking care of a client in the clinic notes that the client comes in twice per week, but never seems to have anything majorly wrong. Which is a benefit of providing education about self-care to this client? A) The client's perception of need will change, promoting appropriate and timely healthcare. B) The client will continue to come to the clinic seeking help until someone helps the client. C) The client will seek affordable insurance by which to gain appropriate healthcare. D) The client will learn to seek healthcare services from legitimate sources. Correct Answer A) The client's perception of need will change, promoting appropriate and timely healthcare. At a local seminar discussing healthcare resources, the nurse discusses the phenomenon that healthcare resources are declining while costs for healthcare are increasing. An older adult in attendance asks the speaker why it has become so difficult to obtain needed care and services. Which response by the nurse is the most appropriate? A) "There is increased cost due to the increased incidence of malpractice lawsuits." B) "There is a decrease in the number of adults needing care." C) "There are not enough medications produced for those who need them." D) "There are plenty of nurses but not enough doctors." Correct Answer A) "There is increased cost due to the increased incidence of malpractice lawsuits."